Pros: there are different things to learn, wound care, vents
Cons: the work load, the backstabbing, the favoritism, the poor management
Patient loads could be anywhere from six to nine patients for the nurses and seven to ten patients for the CNAs. Administration had numerous turnovers in the time that I was there. If you go to work to take care of your patients and not to socialize and gossip, you are cast out and the cliques will spend numerous hours complaining to the nurse manager,
– more... CCO and CEO about you. You are expected to read the CNAs minds and drop everything when they want help. The CNAs can scream and yell at the nurses, but when the nurses try to teach the CNAs something the nurse is reported to the above administrative staff by the CNAs and reprimanded. Administration plays favorites to the point where people were coming into work high and nothing was done. The good workers either left or were fired. Cameras were placed on our building for "security", but in reality it was to identify smokers. The backstabbing and constant fight to try to get the best care for the patients caused so much stress that there were times when various nurses would break down in tears. The work load was unreal. In the special care unit one nurse was expected to take care of four to five acutely ill patients on various vasopressor drips by herself and if she was lucky, she had a CNA to assist/hinder her. Orientation was a joke. My preceptor was so vague I had to basically teach myself the computer charting and find my way around. Sexually conversations were a norm, from the CCO on down to the CNAs. CNAs were lazy and expected the nurses to answer all the call lights, even when the nurses had nine patients and were running around like chickens with their heads cut off. Everybody has to be very careful of what they say due to the fact that it will be twisted around and reported to the administration and the person who said it is written up without investigation and without any warning whatsoever. The equipment is archaic and only recently did we receive new feeding pumps and IV pumps which break down or don't function right most of the time. The pharmacy is continuously complaining that nurses make med errors and overlook their own medication errors, which the management also overlooks. Low census was another problem. For the last six to eight months our census for a 69 bed hospital has been in the low to mid thirties at best and down to the low twenties or high teens at the worst, and call offs were frequently once or twice a week which resulted in very short paychecks. – less